Matossian, Harry Berj

Matossian, Harry Berj is an sole proprietor health care provider with primary practice located at 234 Hospital Dr , Ukiah CA 95482-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Matossian, Harry Berj can be contacted via phone (707) 462-0681.

Contact Information

Primary practice address
234 Hospital Dr Ukiah CA 95482-4560
Phone: (707) 462-0681
Fax: (707) 462-4647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G62323 California

Profile Details

NPI number 1316945702
LBN Legal business name Matossian, Harry Berj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Oct 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316945702 NPPES
California MEDICAID 00G623230
California Other ZZZ56549Z

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